Healthcare Provider Details

I. General information

NPI: 1588091771
Provider Name (Legal Business Name): ROBYN MARIE HO CHEE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBYN MARIE REYNOLDS RN

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 SECOND AVE. NORTH SUITE 209
TWIN FALLS ID
83301
US

IV. Provider business mailing address

155 SECOND AVE. NORTH SUITE 209
TWIN FALLS ID
83301
US

V. Phone/Fax

Practice location:
  • Phone: 208-737-0990
  • Fax: 208-737-0996
Mailing address:
  • Phone: 208-737-0990
  • Fax: 208-737-0996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN-18284
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: